Chandigarh’s PGI awaits Rs 143 cr claims due under Himcare scheme

Concern is mounting at the Postgraduate Institute of Medical Education and Research (PGIMER) as reimbursements under the Himcare health scheme continue to be delayed by the Himachal Pradesh government. During a recent Governing Body meeting, officials revealed that the institute has submitted 1,478 claims totalling approximately Rs 143 crore, none of which have been paid so far. The Himcare scheme offers cashless medical coverage of up to Rs 5 lakh per family per year.

The delay contradicts the MoU between the PGIMER and the Himachal Pradesh government which mandates that all submitted claims should be processed within one month. Officials at the PGIMER highlighted that this timeline has repeatedly been overlooked, creating financial strain on the institute and exposing it to potential audit scrutiny.

The governing body has instructed the PGIMER administration to urgently engage with the state government to expedite the payments. The body emphasised that prolonged non-clearance of dues could impact the institute’s financial health and may jeopardise the continuity of critical healthcare services.

While the Himcare scheme has undeniably improved access to healthcare for many in Himachal Pradesh, continued financial delays threaten to derail its intended impact.

In a patient-friendly move, the PGI introduced a cashless treatment facility under the Himcare scheme on March 8 last year. This allowed patients from Himachal Pradesh to access medical services without upfront payments or long reimbursement waits. Patients simply provide a photocopy of their Himcare card and hospital slip to initiate treatment.

According to PGI estimates, between 4,000 and 5,000 Himachal residents benefit from the scheme each year at the institute.

Himachal Tribune